Comment
Opinion: Pembrokeshire deserves better than endless healthcare decline
For more than a decade, services at Withybush have been reduced while promises of improvement remain unfulfilled — and public trust is wearing thin
THERE is a growing sense across Pembrokeshire that no matter what promises are made, healthcare services here only ever seem to move in one direction — backwards.
This week’s decision by Hywel Dda University Health Board on February 19, 2026, to remove emergency general surgery from Withybush Hospital is not an isolated event. It is the latest chapter in a story residents know all too well.
For more than a decade, people in this county have watched services gradually disappear: consultant-led maternity, the Special Care Baby Unit, inpatient children’s services — and now emergency surgery.
Each decision has been presented as necessary. Each one justified on grounds of safety, staffing shortages or sustainability.
And yet the outcome is always the same: Pembrokeshire loses something.
At The Herald, we do not make that statement lightly. Since 2014, we have reported on every development — the protests, the packed public meetings, the consultations, the board decisions. We have interviewed senior clinicians, chief executives and health board members.
We know what promises were made. And we have seen what followed.
That long view reveals something individual announcements often obscure. Residents are told changes will improve care or lead to better outcomes. But from the perspective of patients and families, things rarely feel improved.
Travel distances get longer. Waiting times remain difficult. Ambulance pressures continue. Anxiety about access grows — especially for those in remote communities facing poor roads, winter weather, or limited transport. For elderly residents without cars, and for families with young children, the strain is real. During tourism peaks, pressures only increase.
Trust, once lost, is hard to rebuild.
One of the deepest frustrations is that assurances of future improvement never quite materialise. The long-discussed new hospital remains years away at best. Recruitment challenges persist. Temporary measures quietly become permanent realities.
What begins as reassurance often ends as another reduction.
None of this denies the genuine challenges facing the NHS. Workforce shortages are real. Rural healthcare is difficult to sustain. Clinical standards must come first.
But fairness matters too.
Pembrokeshire is a large rural county with unique geographic challenges, seasonal pressures and communities that deserve confidence in local services.
People understand healthcare must evolve. What they struggle to accept is a situation where change repeatedly means less provision here.
Local MSs Paul Davies and Samuel Kurtz had warned ahead of the vote that undermining Withybush would cross a “red line.” Paul Davies described the outcome as “appalling but not surprising.” Plaid Cymru’s Kerry Ferguson urged the board to reconsider.
Yet here we are — another acute service shifted away, primarily to Glangwili.
That reality now shapes public confidence. And confidence matters. Healthcare relies not only on clinical outcomes but on public trust. When communities feel decisions are predetermined, consultation loses meaning. When residents believe their county is continually losing out, resentment grows.
The danger is not just political anger. It is disengagement — the belief that nothing will change no matter what people say or do.
Pembrokeshire deserves better than that.
It deserves clarity about the long-term vision for healthcare in the county. Honesty about what can and cannot be delivered locally. Genuine effort to protect services wherever possible.
Withybush still provides a 24-hour emergency department, midwife-led maternity and vital outpatient care. But each loss chips away at confidence in its future.
The people of this county are resilient, pragmatic and realistic. But patience is not unlimited.
When every few years brings another reduction, the question becomes unavoidable:
When do things finally start getting better?

Comment
Attack on Jewish ambulances: When hatred burns, nobody wins
THE IMAGES from Golders Green this week should stop all of us in our tracks.
Ambulances, not symbols of power, not political offices, not even property tied to profit, but ambulances, vehicles dedicated to saving lives, were set alight in the early hours of the morning. Oxygen tanks exploded. Families were forced from their homes. Volunteers who give their time freely to help others were targeted.

If that does not cross a line, then we have lost sight of where the line is.
Police are treating the attack as antisemitic. It is hard to see it as anything else. And it should be said plainly: there is no cause, no grievance, no anger about events abroad that can justify targeting Jewish communities in Britain, least of all those providing emergency care.
But if we are honest, this did not come out of nowhere.
Across Europe, and yes, in parts of the UK, tensions linked to the Israel-Gaza conflict have been bleeding into our streets, our conversations, and increasingly, our behaviour. What begins as outrage about war risks mutating into something darker: collective blame, dehumanisation, and eventually violence.

We have seen this pattern before in history. It never ends well.
At the same time, we cannot pretend that outrage only travels in one direction. Reports from the West Bank of settler violence, homes torched, communities terrorised, are deeply disturbing. Innocent people are suffering there too, often with little protection and even less accountability.
These are different situations, with different causes and different responsibilities. But they are connected by one dangerous thread: the erosion of empathy.
When people stop seeing individuals and start seeing “sides”, everything becomes easier to justify.
Burning an ambulance becomes, in someone’s mind, an act of resistance.
Torching a home becomes, in someone else’s mind, a matter of security.
Both are wrong.
And both depend on the same lie, that the person on the receiving end somehow deserves it.
Britain now faces a choice.
We can import the hatred of a conflict thousands of miles away, allowing it to fracture communities that have lived side by side for generations. Or we can draw a firm line and say: not here.
That means something uncomfortable for everyone.
Those who stand with Israel must be willing to speak out when Palestinians are attacked unjustly. Silence in those moments undermines credibility and fuels resentment.
Those who stand with Palestine must be equally clear in condemning antisemitism, not hedging it, not contextualising it, not quietly ignoring it when it appears on “their side”.
Because once you start excusing hatred when it suits your position, you are no longer arguing for justice, you are just choosing your victims.
The attack in Golders Green is not just about four burnt-out vehicles. It is a warning sign.
If ambulances are fair game, what is not?
Britain has long prided itself on being a place where different communities can live together, disagree, protest, and still recognise each other’s humanity. That tradition is under strain.
The truth is, anger is easy. Outrage is easy. Social media makes both effortless.
Restraint is harder. Nuance is harder. Refusing to hate, especially when confronted with images of suffering, is one of the hardest things we can ask of people.
But it is also the only thing that prevents society from sliding into something far worse.
The flames in Golders Green were put out.
What matters now is whether we put out the ones that lit them.
Comment
A 700-year chapter of British constitutional history closes
WHEN I was studying law at university, constitutional law lectures were easily the most boring part of the course.
Dry cases. Ancient statutes. Endless discussion about parliamentary powers, constitutional conventions and obscure historical arrangements that seemed far removed from everyday life.
At the time, I thought it was all terribly dull.
Looking back now, I realise I had completely missed the point.
Constitutional law is not simply about legal rules. It is about the story of how Britain came to govern itself. Every institution, every convention and every reform is part of a long historical journey stretching back centuries.
This week marks one of those rare moments when that history visibly turns a page.
The remaining hereditary peers in the House of Lords are set to lose their automatic right to sit and vote in Parliament. When that happens, a constitutional principle that has shaped British law and government for more than seven hundred years will finally come to an end.
The origins of the Lords lie in the medieval councils summoned by Edward I of England, when nobles and bishops were called together to advise the Crown. Over time, attendance at Parliament became tied to noble titles, and those titles were inherited.
From that point onward, birth carried political power. If your family held a peerage, you could sit in Parliament and help shape the laws of the kingdom.
For centuries that arrangement formed one of the pillars of Britain’s constitutional structure. It survived civil war, revolution, reform acts and the expansion of democracy.
Even the great wave of reform in 1999 only reduced the number of hereditary peers rather than eliminating them entirely.
Now the final remnants of that system are set to disappear.
For critics, the change is long overdue. The idea that someone should help make the law purely because of who their parents were sits uneasily with modern democratic principles.
But the hereditary peers also represented something else — a direct and living connection to the deep historical roots of the British constitution.
Many of those who remained after the reforms of the late twentieth century became respected contributors to parliamentary scrutiny. They were part of the institutional memory of Parliament, carrying with them traditions that stretched back through generations.
The removal of hereditary membership will not fundamentally alter the role of the House of Lords. It will remain a revising chamber that scrutinises the work of the House of Commons.
But symbolically, something important is ending.
A constitutional principle that endured for more than seven centuries — longer than most political systems anywhere in the world — is finally passing into history.
Those constitutional law lectures I once found so dull were not just about dusty legal doctrines.
They were about the slow evolution of the British state itself.
And this week, that story takes another step forward.
Comment
Iran is far from beaten – and this war may be far harder than Washington imagines
IN THE FIRST weeks of the latest confrontation between the United States and Iran, headlines have focused on airstrikes, missile exchanges and the destruction of Iranian launch sites. Some commentators have rushed to declare that Tehran is already on the back foot.
That conclusion is dangerously premature.
Iran is not Iraq in 2003, nor Afghanistan in 2001. It is a large, heavily populated state with a formidable military doctrine built around survival, endurance and retaliation. Even after weeks of strikes, Iran retains several advantages that make the idea of a quick victory highly doubtful.
A major factor is the sheer scale of Iran’s military resources. The country possesses one of the largest missile arsenals in the Middle East, with hundreds of ballistic missiles capable of striking targets across the region. Alongside this, Iran has developed a substantial drone programme and a wide range of rockets and cruise missiles designed specifically to overwhelm sophisticated Western air defence systems.

These weapons form part of a layered strategy developed over decades. Iran has constructed underground facilities, often referred to as “missile cities,” where large quantities of drones, missiles and other weapons are stored in tunnels beneath mountains and desert terrain. Even if airstrikes destroy some launchers or storage sites, the system is designed to survive and regenerate.
Geography also makes Iran one of the most difficult countries on earth to invade.
The Zagros Mountains stretch for roughly 1,500 kilometres along Iran’s western frontier — precisely the direction any land invasion from Iraq would likely take. These mountains create narrow passes, chokepoints and defensive high ground that strongly favour defenders and slow mechanised armies.
Iran is also vastly larger than the countries the United States has fought in recent decades. It is almost four times the size of Iraq and has a population of more than eighty million people. Any ground war there would not resemble the rapid march to Baghdad in 2003. It would almost certainly become a grinding and prolonged campaign.
History offers a warning about underestimating Iran’s ability to absorb invasion.
In 1980, Saddam Hussein’s Iraq — backed by many Western and regional powers — launched a full-scale invasion of Iran. The conflict lasted eight brutal years. Despite suffering enormous casualties and economic damage, Iran ultimately survived the war and forced Iraq into a costly stalemate.
That experience shaped Iran’s entire modern military doctrine. The country has built its defence strategy around endurance, attrition and the ability to mobilise large numbers of fighters if necessary.
Iran also holds one of the world’s most powerful economic pressure points: the Strait of Hormuz.
Roughly a fifth of the world’s oil shipments pass through this narrow waterway linking the Persian Gulf to global markets. Iran’s naval strategy focuses on the ability to disrupt or potentially close that route using sea mines, fast attack boats, anti-ship missiles and drones. The geography of the strait, with narrow shipping lanes running close to Iran’s coastline, makes it particularly vulnerable to such tactics.
Even limited disruption to shipping there can push global oil prices sharply higher and trigger wider economic shocks. In other words, Iran does not necessarily need to defeat the United States militarily to inflict serious damage on the world economy.
There is also the wider geopolitical picture to consider.
While Russia and China are unlikely to intervene directly in the conflict, both powers have strategic reasons to see the United States tied down in a prolonged Middle Eastern war. Russia benefits from higher energy prices and from American military attention being diverted elsewhere. China relies heavily on Gulf energy supplies and has developed increasingly close economic ties with Tehran.
Neither country is likely to support a scenario in which Iran is completely defeated or the regional balance shifts decisively in Washington’s favour.
For that reason alone, the conflict is unlikely to remain a simple bilateral confrontation (or trilateral including Israel).
The economic consequences of the conflict could also reshape the political landscape in the United States itself. Rising oil and gas prices are already beginning to feed into inflation and household costs, and history shows that wars which drive up energy prices rarely remain popular for long. If disruption in the Strait of Hormuz continues, American motorists and businesses will feel the effects within weeks.
With mid-term elections approaching, the political pressure on Washington could grow rapidly. Voters are already asking two simple questions: why are we fighting this war, and what exactly is the endgame?
Military technology may give the United States overwhelming air superiority, but wars are not won from the air alone. Iran’s strategy has never been about defeating the United States in a conventional battlefield clash. Instead, it is about making victory so costly — economically, politically and militarily — that outside powers eventually conclude the war is not worth continuing.
That strategy helped Iran survive the Iran-Iraq war in the 1980s.
It may yet shape the outcome of this conflict as well.
For now, the early headlines suggesting Iran is already beaten say far more about wishful thinking than about the realities of war. The uncomfortable truth is that this conflict may only just be beginning — and the question facing the world is no longer how it started, but how it ends.

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